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State of the Art Blood Management in Cardiac Surgery
Blood has been described as the most precious and personal substance in the world (1), and caregivers focused on cardiac surgery issues now know that the current direction today in cardiac surgery is to actively move away from transfusing donor “allogeneic” blood products, and towards improved methods of keeping and saving the patient’s own autologous blood.
10 min read
Acute Respiratory Distress Syndrome in the Perioperative Period of Cardiac Surgery: Predictors, Diagnosis, Prognosis, Management Options, and Future Directions
More research in the setting of ARDS after cardiac surgery is needed at multiple levels (risk factors, diagnosis, treatment options). Prevention of lung injury appears to be of the utmost importance, and a better characterization of the risk factors is needed. Avoiding excessive perioperative transfusions and the optimization of ventilation and hemodynamics seem to be the most modifiable risk factors. In patients who develop ARDS after cardiac surgery, extracorporeal techniques may represent a valid choice in experienced hands. The use of NMBAs, prone positioning, and iNO can be considered on a case-by-case basis, whereas aggressive lung recruitment and oscillatory ventilation probably should be avoided.
1 min read
Is the Air Handling Capability of the Quadrox D Pump Dependent within an ECMO Circuit? An In Vitro Study
We aimed to determine if the air handling capability of the Quadrox D oxygenator was dependent upon whether it was used in conjunction with a centrifugal or roller pump; and if application of a Pall air eliminating filter (AEF) would prevent circuit air introduction from intravenous infusions.
1 min read